The Road to 0057-F Readiness: Digitizing Prior Authorization Policies for Health Plans | Sponsored by Cohere Health

Free to attend | Open to all healthcare stakeholders 

As part of the CMS-0057-F final rule, payers are now required to digitize health coverage policies to support greater transparency and interoperability. In this timely webinar, industry experts will unpack what this requirement means in practice, share real-world challenges and best practices, and explore how health plans can prepare to meet evolving expectations around digital policy delivery.

WEDI’s recent Prior Authorization Survey found that digitizing prior authorization policies to support the CRD API will be a significant challenge. At this event, hear from payer organizations as they offer insight on their current experiences with digitizing policies, whether they are close to or have completed their efforts, or are still in the early stages of planning.

Cohere Health will present: Beyond APIs: The Critical Work of Digitizing Prior Auth Policies during the event:

A recent WEDI poll revealed that the two biggest challenges health plans face in preparing for CMS-0057-F are defining an enterprise interoperability strategy and digitizing prior authorization policies. While API mandates may be the tip of the iceberg, policy digitization is key for achieving compliance and truly interoperable workflows.

Cohere Health will share what it takes to build a compliant, scalable policy digitization strategy that not only satisfies API requirements but also enables real automation, improves provider experience, and supports evolving care standards.

You'll learn the best technology practices for end-to-end policy digitization to support 0057-F-compliant workflows, from code mapping and criteria extraction to ongoing policy updates. Whether your plan is just starting to address compliance or wants opportunities to go beyond the requirements, you’ll walk away with the keys to building a successful, end-to-end interoperability strategy.

Current Faculty

• Matt Parker, Chief Product Officer, Cohere Health
• Liana Nunziato, Director, Commercial Strategy, Cohere Health
• Karuna Relwani, Business Interoperability Lead, Interoperability Solutions, Blue Cross Blue Shield Association
• Cara Wahmann, Executive Director, Clinical Oversight and Operational Support, Health Care Service Corporation
• John Roszkowiak, IT Development Director, CenCal